Hemorrhage, due to anticoagulant or thrombolytic drug: Difference between revisions
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{{ICD10 transition status | {{ICD10 transition status | ||
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{{ICD10 category|Iatrogenic}} | {{ICD10 category|Iatrogenic}}{{ICD10 category|Hemorrhage}}{{ICD10 category| Heme/immunology}} | ||
{{ICD10 category|Hemorrhage}} | |||
== Additional Info == | == Additional Info == | ||
*For someone on an anticoagulant drug, it's always a judgement call to decide if the bleed is due to the drug. | |||
**For the "old" anticoagulants, such as iv heparin and coumadin, it's relatively simple -- see if the PT, PTT or INR are elevated and if so then we'd typically say "yes". | |||
**But for the new anticoagulants that don't raise the PT, PTT or INR it's HARD --- and you need to make a judgement. The truth is that most of the time the answer will be "probably", in that it's very hard to know whether that person would have had that bleed without the drug. So, unless the medical team feels that that bleed is NOT likely related (either primarily OR even as a secondary contributing factor) to the anticoagulant, you SHOULD link this code to the code for whatever was bleeding (e.g. GI bleed). | |||
== Alternate ICD10s to consider coding instead or in addition == | == Alternate ICD10s to consider coding instead or in addition == | ||
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== Related CCI Codes == | == Related CCI Codes == | ||
{{Data Integrity Check List}} | |||
== Related Articles == | == Related Articles == | ||
{{Related Articles}} | {{Related Articles}} | ||
{{ICD10 footer}} | {{ICD10 footer}} | ||
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Latest revision as of 17:12, 2019 January 9
| ICD10 Diagnosis | |
| Dx: | Hemorrhage, due to anticoagulant or thrombolytic drug |
| ICD10 code: | D68.3 |
| Pre-ICD10 counterpart: | Complication of anticoagulation therapy |
| Charlson/ALERT Scale: | none |
| APACHE Como Component: | none |
| APACHE Acute Component: | none |
| Start Date: | |
| Stop Date: | |
| External ICD10 Documentation | |
This diagnosis is a part of ICD10 collection.
Additional Info
- For someone on an anticoagulant drug, it's always a judgement call to decide if the bleed is due to the drug.
- For the "old" anticoagulants, such as iv heparin and coumadin, it's relatively simple -- see if the PT, PTT or INR are elevated and if so then we'd typically say "yes".
- But for the new anticoagulants that don't raise the PT, PTT or INR it's HARD --- and you need to make a judgement. The truth is that most of the time the answer will be "probably", in that it's very hard to know whether that person would have had that bleed without the drug. So, unless the medical team feels that that bleed is NOT likely related (either primarily OR even as a secondary contributing factor) to the anticoagulant, you SHOULD link this code to the code for whatever was bleeding (e.g. GI bleed).
Alternate ICD10s to consider coding instead or in addition
Candidate Combined ICD10 codes
Related CCI Codes
Data Integrity Checks (automatic list)
none found
Related Articles
Show all ICD10 Subcategories